49D2099284 CLIA NUMBER - LOUDOUN MEDICAL CARE AND WELLNESS

Laboratory Demographics

  • CLIA Code: 49D2099284
  • Facility Name: LOUDOUN MEDICAL CARE AND WELLNESS
  • Facility Address: 19490 SANDRIDGE WAY, SUITE 240
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 571 223-5723
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDHYA CHANDA
  • NPI Number: 1083001663
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2099284
LAB Type Physician Office
Facility Name LOUDOUN MEDICAL CARE AND WELLNESS
Street 19490 SANDRIDGE WAY, SUITE 240
City LEESBURG
State VA
ZIP 20176
Phone 571 223-5723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director SANDHYA CHANDA

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This page was last updated on: 9/29/2025